| Dr Jin Shin Kwak, MD | |
|
920 Church Street North, Concord, NC 28025-2927 | |
| (704) 403-1430 | |
| (704) 403-1158 |
| Full Name | Dr Jin Shin Kwak |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 25 Years |
| Location | 920 Church Street North, Concord, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124148317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 2009-00292 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carolinas Medical Center-northeast | Concord, NC | Hospital |
| Atrium Health University City | Charlotte, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chs Anesthesia Services Group Inc | 5799007324 | 633 |
| Entity Name | Northeast Anesthesia And Pain Specialists Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386622231 PECOS PAC ID: 0042102170 Enrollment ID: O20040325000701 |
| Entity Name | Chs Anesthesia Services Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346649415 PECOS PAC ID: 5799007324 Enrollment ID: O20141209001856 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jin Shin Kwak, MD Po Box 2000, Concord, NC 28026-2000 Ph: (704) 403-1430 | Dr Jin Shin Kwak, MD 920 Church Street North, Concord, NC 28025-2927 Ph: (704) 403-1430 |
Karlon K H Young, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-1430 Fax: 704-403-1158 | |
Sara L Arnold, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-1430 Fax: 704-403-1158 | |
Tara L Chronister, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-3426 | |
Dr. Osmund Ugochukwu Agbo, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 347-804-9172 | |
Dr. Justin Farmer, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-1430 | |
Dr. Matthew Albert Benshoff, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-1430 |